腹腔镜手术在老年女性妇科疾病中的应用价值

The value of the laparoscopic operation in treating gynecological diseases of senile women

目的 探讨腹腔镜手术在老年女性妇科手术中的安全性和应用价值。方法 1998年 5月～ 2 0 0 3年 5月 ,回顾性分析 12 4例妇科疾病患者的临床资料 (老年腹腔镜手术一组 4 1例 ,非老年腹腔镜手术治疗组 4 8例 ,老年经腹手术治疗组 35例 )。结果 老年患者恶性肿瘤发病率明显高于非老年组 (χ2 =4 75 0 ,P =0 0 2 9) ,经腹手术组的卵巢 /输卵管恶性肿瘤患者多于腹腔镜手术组 (χ2 =14 30 2 ,P =0 0 1) ,老年组待手术日明显长于非老年组 (t=4 9 791,P =0 0 0 1) ,附件手术腹腔镜组术中出血明显少于经腹手术组 (t=11 4 30 ,P =0 0 0 6 ) ,腹腔镜组肠功能恢复短于经腹手术组 (t=8 79,P =0 0 0 1)。结论 腹腔镜手术治疗老年妇科疾病的患者是安全、有效的。

Objective To study the reliability and value of the laparoscopic operation in treating gynecological diseases of senile women.Methods The clinical records of 124 women admitted in our hospital from May 1998 to May 2003,were studied retrospectively,including 41 senile women treated by laparoscopic operation,48 young women by laparoscopic operation and 35 senile women by laparotomy.Results Incidence of malignant disease were higher in senile group than in young group(χ 2=4.750,P=0.029).Preoperative period was longer in senile group than in young group (t=49.791,P=0.001).The blood loss in laparoscopic operation of appendix is less than that in the laparotomy (t=11.430,P=0.006).The recovery time of postoperative intestine function was shorter than the laparotomy (t=8.79,P=0.001).Conclusions Laparoscopic operation is safe and feasible for senile women.